Individual provider Active NPI

Eric Frusha, MD

  • Internal Medicine Physician
  • Prairieville, LA
National Provider Identifier
1174917652
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
309399 Issued in LA
Practice address
14225 Highway 73
Prairieville, LA 70769-3616
Phone
(225) 765-5500
Fax
(225) 673-3132
NPI assigned
Mar 24, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 309399 LA Primary

Addresses

Primary practice location

14225 Highway 73
Prairieville, LA 70769-3616

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 765-5727

Other practice location 1

8585 Picardy Ave Ste 410
Baton Rouge, LA 70809-3749
Phone (225) 763-4111

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address efrusha16666@direct.casso.us.com Direct
FHIR URL https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180723000819 LA Practitioner - Internal Medicine 7113218298 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Our Lady of the Lake Physician Group LLCGroup PAC ID 4587849781, 637 clinicians

Practice addresses (Care Compare)

14225 Hwy 73
Prairieville, LA 70769-3616
Phone (225) 765-5500

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Baton Rouge, LA, CCN 197437
  • Our Lady of the Lake Regional Medical Center Hospital, Baton Rouge, LA, CCN 190064
  • Womans Hospital Hospital, Baton Rouge, LA, CCN 190128

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
309399LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of the Lake Physician Group, LLC CurrentSince Mar 8, 2021 Accepting new patients
Our Lady of the Lake Physician Group LLC CurrentSince Mar 8, 2021 Accepting new patients
Baton Rouge General Physicians, Inc. CurrentSince Oct 12, 2020 Accepting new patients
Baton Rouge General Physicians, Inc. Internal Medicine CurrentSince Oct 12, 2020 Accepting new patients
Our Lady of the Lake Physician Group LLC Internal Medicine Current Accepting new patients
The Wellness Studio, LLC Past Accepting new patients
Our Lady of the Lake Physician Group LLC Past Accepting new patients

Locations

3600 Florida St
Baton Rouge, LA 70806
Phone (225) 381-2615

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

8585 Picardy Ave
Baton Rouge, LA 70809
Phone (225) 763-4000

8415 Goodwood Blvd
Ste 105
Baton Rouge, LA 70806
Phone (225) 765-4226

8585 Picardy Ave
Ste 410
Baton Rouge, LA 70809
Phone (225) 237-4111

3401 North Blvd
Ste 130
Baton Rouge, LA 70806
Phone (225) 381-2789

14105 Highway 73
Ste 200
Prairieville, LA 70769
Phone (225) 588-1753

14225 Highway 73
Prairieville, LA 70769
Phone (225) 673-3033

Interoperability endpoints

  • Direct secure messaging: efrusha16666@direct.casso.us.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1174917652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "225-765-5727",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14225 HIGHWAY 73",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693616",
            "telephone_number": "225-765-5500",
            "fax_number": "225-673-3132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8585 Picardy Ave Ste 410",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708093749",
            "country_code": "US",
            "telephone_number": "225-763-4111",
            "fax_number": "225-763-4123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRUSHA",
        "first_name": "ERIC",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-24",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "309399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "efrusha16666@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "efrusha16666@direct.casso.us.com",
            "address_1": "14225 Highway 73",
            "city": "Prairieville",
            "state": "LA",
            "country_code": "US",
            "postal_code": "707693616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "14225 Highway 73",
            "city": "Prairieville",
            "state": "LA",
            "country_code": "US",
            "postal_code": "707693616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Prairieville, LA

Sources for this page

Verify at the official NPI Registry.